TimesArgus.com - We Are Vermont

Flu clinic brings relief, disappointment



A long line snakes through the parking lot of the Barre Auditorium as hundreds wait for H1N1 vaccines at the Central Vermont Home Health & Hospice flu shot clinic on Saturday. Below, nurse Michele Gallison delivers the H1N1 vaccine to Anita Kelman of West Brookfield inside the Barre Auditorium.

PHOTO BY JEB WALLACE-BRODEUR

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By Peter Hirschfeld
Vermont Press Bureau - Published: November 15, 2009

BARRE – Dozens of central Vermonters were turned away from an H1N1 flu vaccination clinic Saturday morning after health-care workers quickly ran through the 500 doses they had on hand.

By 8 a.m. – an hour before the clinic was supposed to begin – a queue of flu-wary residents braced against a cold and persistent November drizzle outside the Barre Auditorium. By 10:30, an hour and a half before the clinic was scheduled to end, nurses closed the doors.

"Based on the experience of other clinics around the state, we believed we probably would have a lot of people show up," said Judy Peterson, president of Central Vermont Home Health & Hospice, which sponsored the clinic. "It's disappointing to have to turn people away, but we're recommending they come to the next clinic."

Vaccinations at Saturday's clinic were reserved for people in "priority groups" who, by virtue of age or medical condition, are more prone to serious complications if they contract the virus, commonly known as swine flu.

Robert Whitehead Jr., a 62-year-old Middlesex man with asthma and other chronic conditions, said brief discomfort in the cold rain was worth the peace of mind the vaccination would bring.

"I'm going to feel a lot safer, that's for sure," Whitehead said before getting his vaccination. "I've been trying for weeks to get this shot, and it'll feel good to finally feel protected."

Heather Smith, of East Montpelier, waited in line and got her 7-year-old son, Brandon, inoculated.

"I've kept him out of school for two weeks," Smith said.

Smith maneuvered a black umbrella over her son's head as they crept slowly through the line. Her first-grader has asthma, and, having followed the mounting H1N1 death tolls in newspapers and on TV, Smith hasn't been taking any chances

"I had him wearing a mask one day when he was playing outside the house," Smith said. "You hear about people almost dying and dying when they catch this, so it's a little scary."

The Centers for Disease Control and Prevention announced last week that 22 million Americans have been sickened by the H1N1 virus. About 4,000 have died, the CDC reports; the toll includes more than 500 children.

Vaccine supplies have been slow to arrive, however. Peterson said the Vermont Department of Health will distribute new doses every two weeks or so. But she said it could be well into January before the state has enough vaccine for everyone who wants it.

"We had a number of people come to the clinic today who said they had been turned away from other clinics," Peterson said. "I think it's going to be kind of a slow process."

Sandra Blodgett, of East Randolph, has been searching for an H1N1 vaccination for weeks without result. As a personal-care attendant for an elderly woman with a poor immune system, Blodgett said she's been anxious about communicating the virus to her weakened patient.

"I've been to other clinics, but they didn't have enough," Blodgett said Saturday before getting her dose. "It'll feel nice to finally have this off my mind."

There are two forms of H1N1 vaccine. The shot, which is the most popular, contains no live virus. The nasal mist contains a weakened form of the virus that cannot cause flu illness, according to the CDC.

But the nasal option has proved unpopular. Peterson said she still had about 40 doses of the nasal mist on hand Saturday, but that people are reluctant to take the live virus.

The flu shot is recommended for pregnant women, children younger than 2, people with weakened immune systems or serious medical conditions, and others who are otherwise medically vulnerable (for a complete list, visit www.healthvermont.gov).

Until an adequate supply is available, health care officials are asking that no one else seek the flu vaccine.

Through school and public clinics, hospitals, physicians' offices and other outlets, more than 38,000 doses of vaccine in both the shot and spray form have been administered in Vermont. The Department of Health has conducted more than 110 school vaccination clinics. More than 89,100 doses of vaccine were ordered for Vermont.

A series of 53 public clinics also got under way recently and will continue into January.

Since they are at far less risk of contracting the virus, Peterson said people older than 64 will not be allowed to get the H1N1 vaccine until it becomes more widely available.








READER COMMENTS


My intent was not to blame the government for the shortage of vaccine. I am curious about why this type of clinic was scheduled instead of using existing structures to distribute vaccine. Although the doses are being administered by people who work for a non-profit agency, those agencies still are paid and pay their employees. It seems logical that hospitals would be the first place to look to distribute vaccine. Again, they know who is at highest risk and there is no waiting for hours to get the shot.

I am still wondering why our state government decided to spend money in this way. When vaccine could have simply been shipped to hospitals and clinics that are fielding calls about vaccine but haven't been sent any in weeks.
-- Posted by Atypical Soccer Mom on Tue, Nov 17, 2009, 11:09 am EST

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"They wanted the contract and the money that went with it so they said they could get the job done. If you're playing the blame game, put it on the big business that didn't deliver what it promised."

Olde Man, I am glad you brought that up. I seem to remember that over the years the number of drug manufacturers for the flu shot has declined. Why? Because it not profitable (enough) for Big Pharma. With few manufacturers, kinks in the supply of one has a drastic effect on people being able to access the product.

I would like to see figures on the number of manufacturers of flu vaccine now versus 15-20 years ago. I also think it would be a good story to compare this to the meningitis scare in the pediatric population in 1984 or 1985 with in-school vaccinations. How did the supplies measure up compared to today? Did people fear the vaccine as much as they do today? I seem to remember an anticipated 10 percent mortality, with at least 10 from Spaulding contracting it, one being a close call at the hospital, yet being lucky enough to have had no deaths, and I wonder if that is from nearly every student getting the shot.
-- Posted by Christina Colombe on Mon, Nov 16, 2009, 12:11 am EST

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And to those that are blaming the government:

The vaccine is produced by a private corporation. The folks administering the shots are not part of government either. They are a non-profit group. The federal government was lied to by the company that claimed they could produce enough vaccine. They wanted the contract and the money that went with it so they said they could get the job done. If you're playing the blame game, put it on the big business that didn't deliver what it promised.
-- Posted by Olde Man on Sun, Nov 15, 2009, 1:19 pm EST

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It only took 4 hours to get a shot. This was poorly planned. There were far too few people giving shots for the expected number of people. Other than that it was OK
-- Posted by Olde Man on Sun, Nov 15, 2009, 1:13 pm EST

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I too am amazed at the way this vaccine is being distributed. Seems i would be more prudent to have them in school for the kids and in the hospitals for others. Older people with pulmonary disease should have the vaccine available to them.
Makes one feel like you have to hibernate to be safe!
-- Posted by charlene bostrom on Sun, Nov 15, 2009, 10:58 am EST

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Yikes...my post had plus signs when I typed it. Apparently those don't work, so I'll re-word what I said:

Government-issued statements of need to create fear and dependence of the people PLUS government-issued vaccinations = long lines PLUS rationing
-- Posted by Kristin None on Sun, Nov 15, 2009, 8:10 am EST

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What a perfect illustration of what government-supplied health care IS.

Government-issued statements of need to create fear and dependence of the people government-issued vaccinations = long lines rationing
-- Posted by Kristin None on Sun, Nov 15, 2009, 8:08 am EST

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If people in high risk groups are the only people able to get the vaccine now, and people in high risk groups aren't able to get the nasal spray it's no wonder the nasal spray is left over. People who suspect they'll be turned away are unlikely to stand in the rain on a Saturday.

I am still curious as to why people are waiting in the rain when the department of health could have simply distributed this to doctors offices and they could distribute the vaccine. I am also wondering with all that we keep hearing about the state of Vermont's budget crisis how much these clinics cost as opposed to giving the shots through an existing structure - our doctors offices?

Also, as the mother of an asthmatic, an asthmatic myself and the daughter of an asthmatic who is 75 I am very upset about the decision not to vaccinate the elderly. I was able to get the shot for my son early on, for which I am grateful. But I am still so frustrated with much of the handling of this.
-- Posted by Atypical Soccer Mom on Sun, Nov 15, 2009, 7:55 am EST

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